NPI | 1649969940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DC LC50080704) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: DC LC50080704) |
103TF0000X Psychologist, Family (Licence: DC LC50080704) | |
103TS0200X Psychologist, School (Licence: DC LC50080704) | |
Enumeration Date | 2023-05-02 |
Last Update Date | 2023-05-02 |